Ortogeiatric Unit, Complejo Asistencial Universitario de León (CAULE), León, Spain.
Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Universidad de León, León, Spain.
Rehabil Nurs. 2020 May/Jun;45(3):147-157. doi: 10.1097/rnj.0000000000000159.
The aim of the study was to determine the cognitive impairment level influence in descriptive characteristics, comorbidities, complications, and pharmacological features of older adults with hip fracture.
Cross-sectional study.
Five hundred fifty-seven older adults with hip fracture were recruited and divided into cognitive impairment levels (severe/moderate, mild, no impairment). Descriptive characteristics, comorbidities, complications, and pharmacological data were collected.
Significant differences (p < .05, R = .012-.475) between cognitive impairment levels were shown. Shorter presurgery hospital length of stay and lower depression and Parkinson comorbidities; delirium complication; and antidepressants, antiparkinsonians, and neuroleptics use were shown for the no-impairment group. With regard to the cognitive impairment groups, lower presence of cardiopathy and hypertension; higher presence of dementia; antihypertensives, antiplatelets, and antidementia medication; infection/respiratory insufficiency complications; and lower constipation complications were shown.
Cognitive impairment levels may determine the characteristics, comorbidities, pharmacology, and complications of older adults with hip fracture.
Cognitive impairment level may impact rehabilitation nursing practice, education, and care coordination.
本研究旨在确定认知障碍程度对老年髋部骨折患者的描述性特征、合并症、并发症和药物治疗特征的影响。
横断面研究。
共招募了 557 名髋部骨折的老年人，并将其分为认知障碍程度（严重/中度、轻度、无认知障碍）。收集了描述性特征、合并症、并发症和药物治疗数据。
不同认知障碍程度之间存在显著差异（p<0.05，R=0.012-0.475）。无认知障碍组的术前住院时间更短，抑郁和帕金森合并症、谵妄并发症以及抗抑郁药、抗帕金森药和神经阻滞剂的使用更少。对于认知障碍组，心脏病和高血压的发生率较低，痴呆的发生率较高，降压药、抗血小板药和抗痴呆药的使用更多，感染/呼吸功能不全并发症和便秘并发症的发生率较低。
认知障碍程度可能决定老年髋部骨折患者的特征、合并症、药物治疗和并发症。
认知障碍程度可能会影响康复护理实践、教育和护理协调。
